What can look like a seizure but is not?

What exactly are PNES? PNES are attacks that may look like epileptic seizures but are not caused by abnormal brain electrical discharges. Instead, they are a manifestation of psychological distress.
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What can mimic a seizure?

Movement disorders such as Tourette's syndrome or other uncontrolled tics are sometimes mistaken for partial seizures. People with Tourette's syndrome may grunt, clear their throats or even curse involuntarily.
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What can cause seizure like symptoms?

NES symptoms are most often similar to those of a generalized epileptic seizure.
...
NES is most often caused by mental stress or a physical condition, including:
  • A heart condition that causes fainting.
  • Diabetes or other metabolic disorders.
  • Emotional pain.
  • Mental pain.
  • Being bullied.
  • Physical or sexual abuse.
  • A major accident.
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What do non epileptic seizures look like?

Non- epileptic seizures may appear to be generalized convulsions, similar to grand mal epileptic seizures, characterized by fall- ing and shaking. They also may resemble petit mal epileptic seizures, or complex partial seizures, characterized by tem- porary loss of attention, staring into space or dozing off.
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What is a pseudo seizure?

PSEUDOSEIZURES, also called "psychogenic seizures," "nonepileptic seizures," or "hysterical seizures," are clinical events that resemble epileptic seizures but are not associated with abnormal cortical electrical discharges.
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Epilepsy in schools: what does a focal seizure look like?



What is a dissociative seizure?

Some NES are caused by mental or emotional processes, rather than by a physical cause. This type of seizure may happen when someone's reaction to painful or difficult thoughts and feelings affect them physically. These are called dissociative seizures.
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What causes false seizures?

Psychogenic nonepileptic seizures, previously known as pseudoseizures, usually have a psychological cause, such as severe mental stress. However, they are different from epilepsy and do not involve changes to electrical impulses in the brain.
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Will an EEG show past seizures?

An EEG can usually show if you are having a seizure at the time of the test, but it can't show what happens to your brain at any other time. So even though your test results might not show any unusual activity it does not rule out having epilepsy.
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How do you know if its a seizure or Pseudoseizure?

During an attack, findings such as asynchronous or side-to-side movements, crying, and eye closure suggest pseudoseizures, whereas occurrence during sleep indicates a true seizure.
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Can seizures be misdiagnosed?

Background: As many as 20% to 30% of epileptics may have been misdiagnosed. Many of these patients may have cardiovascular syncope, with abnormal movements due to cerebral hypoxia, which may be difficult to differentiate from epilepsy on clinical grounds.
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Can a doctor tell if you've had a seizure?

Tests for diagnosing seizures

If this is your first seizure, your doctor may want to do some scans to look at the structures in your brain. A common form of imaging is MRI. Your doctor may also want to assess how the naturally occurring activity in your brain is functioning. To do this, an EEG is performed.
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What does a mini seizure feel like?

A simple partial seizure can cause: a general strange feeling that's hard to describe. a "rising" feeling in your tummy – like the sensation in your stomach when on a fairground ride. a feeling that events have happened before (déjà vu)
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Can a stroke look like a seizure?

It can be difficult to tell the difference between a stroke and a seizure — many of their symptoms resemble one another. Both can happen suddenly and affect someone's mental state or body movements. One of the easiest ways to tell the difference is that seizures often cause loss of consciousness. Strokes do not.
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How do you rule out a seizure?

An electroencephalogram (EEG).

In this test, electrodes attached to your scalp record the electrical activity of your brain. The electrical activity shows up as wavy lines on an EEG recording. The EEG may reveal a pattern that tells whether a seizure is likely to occur again.
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Can anxiety attacks look like seizures?

The symptoms of anxiety – particularly panic attacks – can look and feel a lot like the symptoms of some types of epileptic seizure. This means that both conditions can be misdiagnosed. A panic attack is a sudden, intense episode of anxiety. These can affect some people with high levels of anxiety.
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Can anxiety look like seizures?

These can include heart palpitations, sweating, trembling and shaking, headaches, dizziness, hot flashes and chills. They are accompanied with a feeling of intense fear. Many of these symptoms can appear similar to epileptic seizures.
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What do psychogenic seizures look like?

They typically look just like epilepsy-related seizures, but they're seizures triggered by emotional stress. Some people with PNES may look like they're experiencing generalized convulsions similar to tonic-clonic seizures with full-body spasms or shaking. Others may have twitching or jerking in their limbs.
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Will an MRI show evidence of seizures?

MRI (magnetic resonance imaging) is the diagnostic tool that identifies structural changes in the brain that may cause seizures or be associated with epilepsy.
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Will an MRI show past seizures?

Does epilepsy show up on MRI scans? No, not necessarily. An MRI scan can help your doctor understand some of the possible underlying structural causes of your seizures. However, for many people there is no structural cause behind their epilepsy and so the brain scan comes back 'normal'.
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Can you see evidence of seizures on MRI?

An MRI scan will not say for certain whether the person has epilepsy or not. But alongside other information, it might help the specialist to decide what the likely cause of the seizures is.
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Can you have a random seizure for no reason?

Anything that interrupts the normal connections between nerve cells in the brain can cause a seizure. This includes a high fever, high or low blood sugar, alcohol or drug withdrawal, or a brain concussion. But when a person has 2 or more seizures with no known cause, this is diagnosed as epilepsy.
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Can stress cause a random seizure?

Emotional stress also can lead to seizures. Emotional stress is usually related to a situation or event that has personal meaning to you. It may be a situation in which you feel a loss of control. In particular, the kind of emotional stress that leads to most seizures is worry or fear.
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Can you have seizure like symptoms but not a seizure?

PNES are attacks that may look like epileptic seizures but are not epileptic and instead are cause by psychological factors. Sometimes a specific traumatic event can be identified. PNES are sometimes referred to as psychogenic events, psychological events, or nonepileptic seizures (NES).
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